BILL ANALYSIS                                                                                                                                                                                                    Ó



                                                                            



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                                 UNFINISHED BUSINESS


          Bill No:  SB 476
          Author:   Steinberg (D)
          Amended:  7/2/13
          Vote:     21


           SENATE INSURANCE COMMITTEE  :  9-0, 4/24/13
          AYES:  Calderon, Gaines, Corbett, Correa, Knight, Lieu, Nielsen,  
            Price, Roth

           SENATE APPROPRIATIONS COMMITTEE  :  7-0, 5/23/13
          AYES:  De León, Walters, Gaines, Hill, Lara, Padilla, Steinberg

           SENATE FLOOR  :  38-1, 5/29/13
          AYES:  Beall, Berryhill, Block, Calderon, Cannella, Corbett,  
            Correa, De León, DeSaulnier, Emmerson, Evans, Fuller, Gaines,  
            Galgiani, Hancock, Hernandez, Hill, Hueso, Huff, Jackson,  
            Knight, Lara, Leno, Lieu, Liu, Monning, Nielsen, Padilla,  
            Pavley, Price, Roth, Steinberg, Torres, Walters, Wolk, Wright,  
            Wyland, Yee
          NOES:  Anderson
          NO VOTE RECORDED:  Vacancy

           ASSEMBLY FLOOR  :  75-1, 9/4/13 - See last page for vote


           SUBJECT  :    Insurance:  special assessments

           SOURCE  :     Department of Insurance
                      Los Angeles County District Attorney's Office


           DIGEST  :    This bill eliminates the sunset dates for Auto  
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          Consumer Assessment, Organized Automobile Fraud Activity  
          Interdiction Assessment, and the Life and Annuity Consumer  
          Protection Fund, and lowers the maximum assessment of the Auto  
          Consumer Assessment and expands application of the Life and  
          Annuity Consumer Protection Fund to include life insurance and  
          annuity products valued at less than $15,000.  This bill also  
          requires the Insurance Commissioner to prepare an annual report  
          containing information pertaining to consumer complaints,  
          investigations, and administrative and regulatory cases  
          pertaining to automobile insurance.

           Assembly Amendments  require the Insurance Commissioners annual  
          report to contain specified information pertaining to consumer  
          complaints, investigations, and administrative and regulatory  
          cases, and total aggregate annual assessment revenue and  
          expenditure pertaining to automobile insurance, and make  
          technical changes.

           ANALYSIS  :    

          Existing law: 

          1.Auto Consumer Assessment:
           
              A.   Until January 1, 2015, imposes on an insurer a $0.30  
               special purpose assessment on each vehicle insured under an  
               insurance policy issued in this state by the insurer;

             B.   Specifies that $0.20 of each $0.30 special purpose  
               assessment shall be used to fund specified consumer service  
               functions of the Department of Insurance (DOI) relating to  
               motor vehicle insurance; 

             C.   Further specifies that the remaining $0.10 of each $0.30  
               special purpose assessment shall be used to fund the  
               improvement of certain consumer functions of DOI.

          1.Organized Automobile Fraud Activity Interdiction Assessment:
          
             A.   Provides that each insurer doing business in this state  
               shall pay an annual special purpose assessment to be  
               determined by the Insurance Commissioner, but not to exceed  
               $0.50 annually for each vehicle insured under an insurance  
               policy the insurer issues in this state, in order to fund  

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               DOI's Fraud Division and the Organized Automobile Fraud  
               Activity Interdiction Program;

             B.   Provides that, of the funds collected, 42.5% are  
               required to be distributed to district attorneys, 42.5% are  
               required to be distributed to DOI's Fraud Division, and 15%  
               are required to be distributed to DOI of the California  
               Highway Patrol, to be used as provided;

             C.   Provides that this assessment be repealed on January 1,  
               2015.

          1.Life and Annuity Consumer Protection Fund:

             A.   Creates the Life and Annuity Consumer Protection Fund as  
               a special account within the Insurance Fund until January  
               1, 2015;

             B.   Requires each insurer admitted to transact insurance in  
               this state to pay a fee determined by the Insurance  
               Commissioner (Commissioner), not to exceed $1, for each  
               individual life insurance policy and each individual  
               annuity product that it issues to a resident of this state  
               with a value of $15,000 or more; 

             C.   Provides that if an insurer elects to charge the  
               purchaser of a life insurance policy or annuity product for  
               this fee, the fee is required to be set forth as a separate  
               charge in the contract schedule or premium notice;

             D.   Provides that the monies in the Life and Annuity  
               Consumer Protection Fund are to be distributed, as  
               provided, and are required to be used exclusively for the  
               purpose of protecting consumers of life insurance and  
               annuity products in this state; and

             E.   Requires that 50% of the monies in the fund be  
               distributed within DOI for functions related to individual  
               life insurance and annuity products, including, but not  
               limited to, educating consumers in all aspects of life  
               insurance and annuity products, consumer protection,  
               purchasing and using insurance and annuity products, claim  
               filing, benefit delivery, and dispute resolution.


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          This bill:

          1.Auto Consumer Assessment:

             A.   Revises and recasts provisions relating to the Auto  
               Consumer Assessment, deletes the date of repeal, and  
               requires a special purpose assessment of $0.25 until  
               January 1, 2016, and not exceeding $0.25 thereafter, on  
               each vehicle insured under an insurance policy issued in  
               this state by the insurer;

             B.   Specifies that, upon appropriation, two-thirds of the  
               special purpose assessment be used for the purpose of  
               funding the consumer service functions of DOI related to  
               regulating automobile insurers, as provided, and one-third  
               of the special purpose assessment be used for the purpose  
               of improving consumer functions of DOI, related to  
               regulating automobile insurers, as specified; 

             C.   Authorizes DOI, upon appropriation by the Legislature,  
               to use up to $0.05 of the $0.25 special purpose assessment  
               revenues collected to notify insurers and other members of  
               the public about the existence of any low-cost automobile  
               insurance program;

          1.Organized Automobile Fraud Activity Interdiction Assessment:

             A.   Revises and recasts provisions relating to the Organized  
               Automobile Fraud Activity Interdiction Assessment;

             B.   Deletes the date of repeal;

             C.   Provides for the distribution of funds by the  
               Commissioner upon appropriation by the Legislature.

          1.Life and Annuity Consumer Protection Fund:

             A.   Revises and recasts provisions relating to the Life and  
               Annuity Consumer Protection Fund, deletes the date of  
               repeal, and requires that the monies distributed by the  
               Commissioner, upon appropriation by the Legislature, fund  
               the reasonable costs incurred in regulating entities  
               transacting life insurance and annuity products in this  
               state;

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             B.   Deletes the requirement that each individual life  
               insurance policy and each individual annuity product have a  
               value of $15,000 or more in order for the special  
               assessment to apply;

             C.   Requires that instead of consumer education, the monies  
               in the fund distributed within DOI for functions related to  
               individual life insurance and annuity products be used to  
               disseminate information to insurers, insureds, and others  
               regarding the applicable regulation of life insurance and  
               annuity products, including consumer protection, purchasing  
               and using insurance and annuity products, claim filing,  
               benefit delivery, and dispute resolution.

          1.Requires the Insurance Commissioner to prepare an annual  
            report containing information pertaining to consumer  
            complaints, investigations, and administrative and regulatory  
            cases pertaining to automobile insurance.
          
           Background
           
           Auto Consumer Assessment  .  Auto insurers doing business in  
          California must pay an annual assessment of $0.30 for each  
          insured vehicle.  Insurers may recoup the assessment via an  
          insurance policy premium surcharge.  The funds collected are  
          used by DOI to research consumer auto-related unfair claim  
          practice complaints; investigating and prosecuting auto-related  
          producer licensee violations; auto-related educational materials  
          for consumers; and outreach activities for the California Low  
          Cost Automobile Insurance Program.  The assessment sunsets on  
          January 1, 2015.

           Organized Automobile Fraud Activity Interdiction Assessment  .   
          Auto insurers must pay an annual assessment, determined by the  
          Commissioner but not to exceed $0.50 for each insured vehicle.   
          Insurers may recoup the assessment via an insurance policy  
          premium surcharge.  The funds collected are used for activities  
          relating to investigating and prosecuting organized auto  
          insurance fraud in California.  Funds are allocated by the  
          Commissioner to local district attorneys (42.5%), DOI (42.5%)  
          and the California Highway Patrol (15%).  This assessment is  
          scheduled to sunset on January 1, 2015.


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          The primary focus of the program is directed at organized  
          criminal activity which often involves the staging of automobile  
          accidents and the filing of fraudulent automobile accident or  
          damage claims.

            DOI Fraud Division  .  According to DOI's 2011 Annual Report,  
            during Fiscal Year 2010-11, the Fraud Division assigned 181  
            new cases and 239 referrals to prosecuting authorities.   
            Potential losses amounted to $3,647,929.

            District Attorneys' Organized Automobile Fraud Activity  
            Interdiction Program  .  According to DOI's 2011 Annual Report,  
            during Fiscal Year 2010-11, ten counties were awarded grant  
            funding totaling $6,586,044.  The grant-awarded district  
            attorneys reported 249 arrests, which included many of the  
            Fraud Division arrests.  District attorneys prosecuted 252  
            cases involving 551 defendants with chargeable fraud totaling  
            $8,895,149.  District attorney prosecution outcomes totaled  
            263 convictions.

           Life and Annuity Consumer Protection Assessment.   The Senate  
          Insurance Committee held a hearing in February 2003 to  
          investigate financial abuse of seniors; part of the hearing was  
          dedicated to considering senior financial abuse related to the  
          sale of annuities.  The following year, AB 2316 (Chan, Chapter  
          835, Statutes of 2004), established the Life and Annuity  
          Consumer Protection Fund.  
          To support the fund, Insurers must pay a $1 annual fee on each  
          new life insurance policy and annuity product valued at $15,000  
          or more.  Insurers may, however, recoup the assessment via an  
          insurance policy premium or contract surcharge.  The funds  
          collected are used for investigation, prosecution and  
          education/outreach activities relating to individual life  
          insurance and annuity products with 50% allocated to DOI and 50%  
          to local district attorneys via grants awarded by DOI.

            Enforcement Actions and Prosecutions.   According to DOI's 2011  
            Annual Report, in 2011, DOI opened 2,221 consumer complaints  
            and 175 investigations and referred or reported 41 cases to  
            prosecuting agencies, with 21 administrative or regulatory  
            cases referred to the DOI's Legal Division.  Eight  
            administrative or regulatory actions were taken.

            Senior Outreach.   A portion of the fund goes to consumer  

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            education events targeted for senior.  According to DOI's 2011  
            Annual Report, DOI participated in approximately 60 senior  
            outreach events, during calendar year 2011, in which staff  
            discussed issues such as purchasing annuities, and scams  
            committed against seniors in purchasing insurance, including  
            life insurance and annuities.  DOI also distributes  
            information brochures concerning insurance topics to the  
            public during outreach events and developed and conducted an  
            advertising campaign called Senior Advisory, which is placed  
            with various magazine publications throughout the state.

           Prior Legislation
           
          SB 940 (Speier, Chapter 884, Statutes of 1999), established fees  
          for the Auto Consumer Assessment through January 1, 2007 of  
          $0.50 on each automobile policy to support DOI's automobile  
          fraud division and $0.30 per policy to support consumer  
          protection activities.  
           
          AB 1183 (Vargas, Chapter 717, Statutes of 2005), extended the  
          sunset date for the Auto Consumer Assessment to January 1, 2010.

          AB 601(Garrick, Chapter 247, Statutes of 2009), extended the  
          sunset date for the Auto Consumer Assessment from January 1,  
          2010, to January 1, 2015.
          
          AB 1050, (Wright, Chapter 885, Statutes of 1999), created the  
          Organized Automobile Fraud Activity Interdiction Program in  
          Fiscal Year 2000-01; increased the auto fraud fee from $1.00 per  
          auto policy per year to $1.50 per policy per year; and directed  
          that the additional $0.50 fund three to six new grants to fight  
          organized auto fraud activity.

          AB 1183 (Vargas, Chapter 717, Statutes of 2005), extended the  
          sunset date for the Organized Automobile Fraud Activity  
          Interdiction Assessment to January 1, 2010.

          SB 1847 (Senate Banking, Finance and Insurance Committee,  
          Chapter 405, Statutes of 2006), revised various reporting  
          requirements including reports on workers' compensation and auto  
          insurance fraud.

          AB 1401, (Aghazarian, Chapter 335, Statutes of 2007), increased  
          the assessment on insurers that funds the activities of the  

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          Fraud Division in DOI, and made other changes to the  
          administration of the fraud program.

          AB 2143, (De León, Chapter 445, Statutes of 2008), extended the  
          sunset date for the Organized Automobile Fraud Activity  
          Interdiction Assessment from January 1, 2010, to January 1,  
          2015.

          AB 2316 (Chan, Chapter 835, Statutes of 2004) created the Life  
          and Annuity Consumer Protection Fund and established the $1  
          annual fee on each new life insurance policy and annuity product  
          valued at $15,000 or more.

          AB 76 (Yamada, Chapter 75, Statutes of 2009), extended the $1  
          fee based on individual life insurance and annuity products  
          worth $15,000 or more issued by insurers until January 1, 2015,  
          that is dedicated to protecting consumers of insurance products  
          and required the Commissioner to annually publish a report  
          detailing certain consumer protections.

           FISCAL EFFECT  :    Appropriation:  No   Fiscal Com.:  Yes    
          Local:  No

          According to the Senate Appropriations Committee:

                 Estimated revenue decrease of $778,000 in FY 2013-14 and  
               FY 2014-15 and revenue of $7.2 million annually thereafter  
               for the Auto Consumer Assessment (Insurance Fund).

                 Estimated revenue of $6.3 million in FY 2014-15 and  
               $12.6 million annually thereafter for the Organized Auto  
               Fraud Assessment (Insurance Fund)

                 Estimated revenue increase of $426,000 in FY 2013-14 and  
               FY 2014-15 and revenue of $1.7 million annually for the  
               Life and Annuity Consumer Protection Assessment (Life and  
               Annuity Consumer Protection Fund)

           SUPPORT  :   (Verified  9/4/13)

          Department of Insurance (source)
          Los Angeles County District Attorney's Office (source) 
          California Advocates for Nursing Home Reform
          California Association of Health Underwriters

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          California District Attorneys Association
          Congress of California Seniors
          National Association of Insurance and Financial Advisors of  
          California
          San Diego County District Attorney's Office
          United Policyholders

           ARGUMENTS IN SUPPORT  :    According to the author's office, this  
          bill seeks to provide a continuous and reliable funding source  
          for supporting critical consumer protection activities relating  
          to insurance fraud.  Additionally, this bill reduces the auto  
          consumer assessment amount to help eliminate the current fund  
          gap between revenue and expenditures, and provides the  
          Commissioner the authority to adjust the assessment, up to the  
          $0.25 cap, to help prevent or minimize any future gaps.

           ASSEMBLY FLOOR  : 75-1, 09/04/13
          AYES: Achadjian, Alejo, Allen, Ammiano, Atkins, Bigelow, Bloom,  
            Bocanegra, Bonilla, Bonta, Bradford, Brown, Buchanan, Ian  
            Calderon, Campos, Chau, Chesbro, Conway, Cooley, Dahle, Daly,  
            Dickinson, Donnelly, Eggman, Fong, Fox, Frazier, Beth Gaines,  
            Garcia, Gatto, Gomez, Gonzalez, Gordon, Gorell, Gray, Grove,  
            Hagman, Hall, Harkey, Roger Hernández, Holden, Jones,  
            Jones-Sawyer, Levine, Linder, Logue, Lowenthal, Maienschein,  
            Medina, Mitchell, Morrell, Mullin, Muratsuchi, Nazarian,  
            Nestande, Olsen, Pan, Patterson, Perea, V. Manuel Pérez,  
            Quirk, Quirk-Silva, Rendon, Salas, Skinner, Stone, Ting, 
          Wagner, Waldron, Weber, Wieckowski, Wilk, Williams, Yamada, John  
            A. Pérez
          NOES: Chávez
          NO VOTE RECORDED: Mansoor, Melendez, Vacancy, Vacancy

          AL:nl:e  9/5/13   Senate Floor Analyses 

                           SUPPORT/OPPOSITION:  SEE ABOVE

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